International networking: connecting midwives through social media

STEWART S., SIDEBOTHAM M. & DAVIS D. (2012) International networking: connecting midwives through social media. International Nursing Review59, 431-434 Purpose: This article reports on the 'Virtual International Day of the Midwife E-vent', an innovative initiative that uses social media to provide opportunities for learning and networking internationally. Background: This e-vent was conceived of and initiated in 2009 by a small group of midwives with an interest in social media. The e-vent uses web conferencing software and schedules a presentation every hour for a 24-h period so as to reach midwives or other interested parties in all time zones of the globe. Methods: The authors draw on their experiences to describe the e-vent including the e-vent aims and organizing processes, and to report on participation trends over the 3-year period. Findings: The e-vent has seen significant growth over a 3-year period with participation increasing from an average of five participants per session to 50. The organizing committee has expanded to include an international team and they have extended the reach of the project by establishing a Facebook page. Conclusions: While the use of social media has its limitations, projects such as the International Day of the Midwife E-vent have real potential to increase access to educational materials and provide opportunities for international networking.     

产妇经血传播疾病检测对助产士职业暴露预防的意义

目的探讨产妇产前经血传播疾病检测对助产士职业暴露在医院感染控制中的意义。方法对2007年10月至2009年10月间的产妇进行乙型肝炎表面抗原（HBsAg）、丙型肝炎抗体（抗HCV）、艾滋病抗体（抗HIV）、甲苯胺红不加热血清试验（TRUST）检测,并对助产士在这两年间所发生的职业暴露进行统计分析。结果检出HBsAg阳性521例,阳性牢16．35％抗-HCV阳性4例,阳性率0．13％;抗-HIV阳性1例,阳性率0．03％;TRUST阳性12例,阳性率0．38％;助产士发生职业暴露5例,暴露率7．9％;经过随防一年,未发生医院院内感染。结论产前检测经血传播性疾病可事先知晓产妇经血传播疾病的感染情况,使助产士更严格遵循安全的操作流程,规范操作,自觉加强防护,对助产士职业暴露防治、对医院感染控制、对提高职业防护的依从性和执行率有着重要意义,大大降低助产士职业暴露的风险。     

助产士全程陪护联合家庭化分娩的效果观察

目的 探讨助产士全程陪护联合家庭化分娩模式的临床应用效果.方法 选择2010年1月至2010年12月本院住院分娩的孕妇500例,其中施行助产士全程陪护联合家庭化分娩的孕产妇275例为观察组,225例非家庭化分娩孕产妇为对照组.结果 观察组顺产率高于对照组,产后出血率低于对照组,产程时间明显缩短,满意度明显高于对照组,两组间比较差异均具有统计学意义(P＜0.05).结论 助产士全程陪护联合家庭化分娩模式可提高自然分娩率,减少产后出血,提高产科服务满意度.     

如何提高教学医院产房助产士实习生教学质量

目的：探讨如何提高教学医院产房助产士实习生教学质量。方法：严格带教老师准入制度,明确带教老师职责,实行实习生岗前培训及考核,制定产房实习助产士培训规范。结果：实习助产士的理论和实操能力及对老师的满意度明显提高,对待工作的态度更加严谨。结论：实习培训规范和内容的制定要切合实际,带教老师要与学生展开教学互动,采纳合理化建议,及时修正带教的计划和内容,更新带教的理念,改变带教的思路,才能全方位的提高助产士实习生教学质量。     

助产分娩泵的临床应用

目的探讨助产分娩泵在产科临床中的应用。方法选择住院分娩孕妇93例,其中观察组47例实施助产分娩泵,另选同样条件46例作为对照组,不使用助产分娩泵。观察两组产妇的产程进展、分娩方式及对疼痛的感觉。结果观察组第一产程平均时间比对照组缩短4.4 h,第二产程平均时间较对照组缩短0.47 h,总产程平均时间较对照组缩短5.0 h,两组产程比较差异有统计学意义(P<0.05)。观察组阴道分娩36例,分娩率为76.6%,剖宫产11例,剖宫产率为23.4%,对照组阴道分娩22例,分娩率为47.8%,剖宫产24例,剖宫产率为52.2%,两组分娩方式比较差异有统计学意义(P<0.05)。观察组使用助产分娩泵0分18例,6分0例;对照组0分0例,6分12例。观察组孕妇分娩时疼痛感明显低于对照组,两组比较差异有统计学意义(Z=6.7885,P<0.05)。结论在产科分娩中运用助产分娩原可以明显缩短产程,降低剖宫产率,不增加母婴并发症,是一种助产新技术,值得推广应用。     

Swedish women’s experiences of menopausal transition: A focus group study

ObjectiveThe aim of this study was to examine women’s experience of menopausal transition and their expectations and wishes for support from healthcare. Further, to examine their knowledge about menopause and thoughts about current attitudes in healthcare and in society generally.MethodsData was collected through three focus group interviews with 14 women experiencing menopausal symptoms. The qualitative analysis was transacted through systematic text condensation, where categories were derived from data.ResultsThe women in this study told us about being inadequately prepared for menopause through having insufficient knowledge of the menopausal transition. They experienced lack of clarity about where in the health care system they could get help and that knowledge of menopause varied among healthcare staff. The attitudes to menopause experienced by women in this study were both positive and negative, but they often equated menopause with getting old. To be better prepared for the climacteric transition, the women wanted information from health care professionals and they wanted menopausal care to be easily accessible and local. If needed, it should be possible to access clinics providing specialist care.ConclusionThis work indicates that women want more and improved information about menopause in order to be better prepared. Advice and treatment for menopausal healthcare care should be easily accessible for women. Improved education and care guidelines for menopausal problems can be helpful for healthcare staff.     

Maternity care provider acceptance of a future Group B Streptococcus vaccine – A qualitative study in three countries

IntroductionThere are vaccines in clinical trials that target the bacterium Group B Streptococcus (GBS). When approved, GBS vaccines will be intended for administration to pregnant women to prevent infection in their infants. The success of any vaccine will depend on its’ uptake in the population. Experience with prior maternal vaccines, e.g. influenza, Tdap and COVID-19 vaccines, teaches us that acceptance of vaccines, especially if novel, is challenging for pregnant women, and that provider recommendation is a key driver of vaccine uptake.MethodsThis study investigated attitudes of maternity care providers towards the introduction of a GBS vaccine in three countries (the United States (US), Ireland, and the Dominican Republic (DR)) with different GBS prevalence and prevention practices. Semi-structured interviews with maternity care providers were transcribed and coded for themes. The constant comparative method, and inductive theory building were used to develop conclusions.ResultsThirty-eight obstetricians, 18 general practitioners and 14 midwives participated. There was variability in provider attitudes towards a hypothetical GBS vaccine. Responses ranged from enthusiasm to doubts over the need for a vaccine. Attitudes were influenced by perceived additional benefits of a vaccine over current strategy and confidence in the safety of vaccines during pregnancy. Knowledge, experience and approaches to GBS prevention differed geographically and according to provider type, and influenced how participants assessed the risks and benefits of a GBS vaccine.ConclusionMaternity care providers are engaged in the topic of GBS management and there is opportunity to leverage attitudes and beliefs that will support a strong recommendation for a GBS vaccine. However, knowledge of GBS, and of the limitations of current prevention strategies vary among providers in different regions, and between different provider types. Targeted educational efforts with antenatal providers should focus on highlighting safety data the potential benefits of vaccination over current strategies.